Care Coordinator

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Valeris

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💊 Pharmaceuticals

🏥 Healthcare

🤝 B2B

Pharmaceuticals • Healthcare • B2B

Valeris is a fully integrated life sciences commercialization partner formed by the merger of PharmaCord and Mercalis. The company provides comprehensive solutions across the healthcare value chain to help life sciences companies bring products to market and improve patient access and adherence. Valeris offers data and strategic insights, patient support and access programs, and healthcare provider engagement tools, serving over 500 life sciences customers and supporting millions of patients. Headquartered in Morrisville, North Carolina and Jeffersonville, Indiana, Valeris focuses on enabling commercialization and patient-centric services for pharmaceutical and life sciences organizations.

📋 Description

• Own patient cases from initiation to closure • Perform benefit investigations and prior authorizations/denial appeals • Determine financial qualifications for assistance programs • Assist patients, callers, and stakeholders through resolution via email, inbound/outbound calls, and Lynk technology • Build trusted relationships with patients, prescribers, and client stakeholders • Perform program welcome calls and post-benefits-investigation calls • Manage client and healthcare professional inquiries according to business rules • Manage inbound calls and triage patients to appropriate resources • Provide personalized case management and communicate benefit coverage and next steps • Identify benefits and payer coverage using electronic tools and manual investigations • Communicate coverage, prior authorization, appeals, tier exceptions, and formulary exclusions • Follow up with payers and healthcare providers regarding submissions and outcomes • Coordinate nurse education and adherence services where applicable • Identify peer support resources • Coordinate product shipments through patient assistance and bridge programs • Communicate prior authorization reverification and patient assistance re-enrollment needs • Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and business rules • Document activities in the PharmaCord Lynk system • Follow corporate policies, SOPs, and training deadlines • Perform additional assigned tasks or projects

🎯 Requirements

• Bachelor’s degree strongly preferred or equivalent experience required • Customer service and healthcare industry experience preferred but not required • Ability to work an 8.5-hour shift between 8 am and 9 pm, Monday to Friday required • Bi-lingual skills in Spanish and English are a plus • Remote work eligibility is subject to meeting all work-from-home criteria and business need • Detail oriented • Professional telephone etiquette • Basic computer knowledge • Ability to multitask effectively • Clear and concise communication • Candidates who can type at least 35 words per minute with 97% accuracy preferred • Flexibility to travel as needed preferred • Successful completion of a background check and, depending on the position, a drug screen

🏖️ Benefits

• Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs • Telehealth and Employee Assistance Program (EAP) services • Company match on Health Savings Account contributions • Free Basic Life and AD&D coverage equal to annual earnings, with a minimum of $50,000 and a maximum of $300,000 • Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability • 401(k) Retirement Savings Plan with 100% match on the first 5% contributed, with immediate vesting • Paid Time Off (PTO) and Sick Leave • Nine paid holidays plus two floating holidays • Opportunities for advancement and personal and professional growth • Challenging, stimulating work environment that encourages new ideas • Inclusive workplace and mission-driven culture • Background check and, depending on the position, drug screen required as a condition of employment